Hookworm-related Cutaneous Larva Migrans in Dutse, Nigeria: A Case Report

Nuhu SY and Muhammed H

Published on: 2023-12-30

Abstract

Hookworm-related cutaneous larva migrans (HrCLM) is a zoonotic, nematode skin infestation in tropical and sub-tropical continents. It occurs mostly in the developing world, in resource-poor communities. HrCLM is caused by the penetration of hookworm larvae, usually from pets (dogs and cats) or livestock, into the skin of humans. The infection occurs after contact with the animal feces or soil that contain the larvae of the parasites. The normal life cycle of the parasite does not take place in humans. Humans are an accidental host for the parasites. HrCLM is also called a creeping eruption; it’s characterized by a linear, serpiginous eruption with a pruritic, slightly elevated moving track. In this article, we report on a patient who is a 32-year-old rice farmer in Dutse, Nigeria. The patient developed an irritating, creeping eruption on his foot that moves in an irregular pattern with lesions, and 400mg of albendazole was prescribed for the patient for 7 days. After treatment, the pruritic, serpiginous eruption receded. The clinical diagnosis of HrCLM is based on skin findings and a history of exposure. The use of boots, gloves, and other protective wear by farmers is strongly recommended. Household pets like dogs, cats, and livestock should be treated regularly with anti-helminthic drugs.